Organization Active NPI

Emdr Therapy Inc.

  • Addiction Psychiatry Physician
  • Orange, CA
National Provider Identifier
1598323339
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
EMDR THERAPY INC.
Practice address
1940 W Orangewood Ave Ste 205
Orange, CA 92868-2050
Phone
(626) 676-5400
NPI assigned
Jun 5, 2019
Last updated
Jun 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Malek
Title
Manager
Phone
(626) 644-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X Primary

Addresses

Primary practice location

1940 W Orangewood Ave Ste 205
Orange, CA 92868-2050

Mailing address

1940 W Orangewood Ave Ste 205
Orange, CA 92868-2050

National Provider Directory

National Provider Directory

Locations

1940 W Orangewood Ave
Ste 205
Orange, CA 92868
Phone (626) 676-5400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1598323339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 W ORANGEWOOD AVE STE 205",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W ORANGEWOOD AVE STE 205",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682050",
            "telephone_number": "626-676-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMDR THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "MALEK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-644-0070"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.